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Organization
M&L PRODIGY HEALTHCARE INC
Active
Organization
M&L PRODIGY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE NDANSI (PRESIDENT)
(781) 557-8134
Entity
Organization
Contact information
Practice address
85 TOWER OFFICE PARK, WOBURN, MA 01801-2113
(781) 557-8134
(978) 737-9051
Mailing address
85 TOWER OFFICE PARK, WOBURN, MA 01801-2113
(781) 557-8134
(978) 657-7542
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
Other
Enumeration date
03/11/2019
Last updated
05/14/2021
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